Important Forms


We proudly serve all women regardless of sexual orientation, gender expression or identity, race, religion, culture, or language.

If you’re looking for compassionate care with a personal touch, look no further than Shenandoah Women’s Healthcare in Harrisonburg, VA. Our team of physicians and certified nurse midwives are here to help women of all ages.

We provide outstanding healthcare services to women of all ages from adolescence to pregnancy to menopause and beyond. No matter where your life takes you, we want to be your partner in health.

Our office will handle your medical records with complete confidentiality. However, if another healthcare provider who is also involved with your care refers you to us, it is customary to send that provider a report of our findings and recommendations. We will provide him or her with such a report unless you instruct us otherwise. We do not release medical records to others without receiving prior written authorization from the patient.

Please use BLACK ink when filling out the forms. Thank you!

New Patient Paperwork
– English Download
– Spanish Download

Medical Records Release Form
– Download


If you have any questions or comments please feel free to email us at or give us a call.

Shenandoah Women's Healthcare & The Spa at Shenandoah
240 Lucy Drive
Rockingham County, Shenandoah Valley

Harrisonburg, VA 22801
Phone: 540-438-1314
Fax: 540-438-0797
Office Hours

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